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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | ADDE, Fabiola V. | - |
dc.contributor.author | ALVAREZ, Alfonso E. | - |
dc.contributor.author | BARBISAN, Beatriz N. | - |
dc.contributor.author | GUIMARAES, Bianca R. | - |
dc.date.accessioned | 2013-09-23T16:51:39Z | - |
dc.date.available | 2013-09-23T16:51:39Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | JORNAL DE PEDIATRIA, v.89, n.1, p.6-17, 2013 | - |
dc.identifier.issn | 0021-7557 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/2328 | - |
dc.description.abstract | Objective: To advise pediatricians, neonatologists, pulmonologists, pediatric pulmonologists, and other professionals in the area on the main indications and characteristics of long-term home oxygen therapy in children and adolescents. Data source: A literature search was carried out in the MEDLINE/PubMed database (1990 to 2011). Additionally, references from selected studies were included. As consistent scientific evidence does not exist for many aspects, some of the recommendations were based on clinical experience. Data synthesis: Long-term home oxygen therapy has been a growing practice in pediatric patients and is indicated in bronchopulnnonary dysplasia, cystic fibrosis, bronchiolitis obliterans, interstitial lung diseases, and pulmonary hypertension, among others. The benefits are: decrease in hospitalizations, optimization of physical growth and neurological development, improvement of exercise tolerance and quality of sleep, and prevention of pulmonary hypertension/cor pulmonale. The levels of oxygen saturation indicative for oxygen therapy differ from those established for adults with chronic obstructive pulmonary disease, and vary according to age and disease. Pulse oximetry is used to evaluate oxygen saturation; arterial blood gas is unnecessary. There are three available sources of oxygen: gas cylinders, liquid oxygen, and oxygen concentrators. The flows used are usually smaller, as are the number of hours/day needed when compared to the use in adults. Some diseases show improvement and oxygen therapy discontinuation is possible. Conclusions: Long-term home oxygen therapy is increasingly common in pediatrics and has many indications. There are relevant particularities when compared to its use in adults, regarding indications, directions for use, and monitoring. | - |
dc.description.abstract | Objetivo: Orientar pediatras, neonatologistas, pneumologistas, pneumologistas pediátricos e outros profissionais envolvidos na área sobre as principais indicações e as particularidades da oxigenoterapia domiciliar prolongada em crianças e adolescentes. Fontes dos dados: Pesquisa bibliográfica na base de dados MEDLINE/PubMed (1990 a 2011). Adicionalmente, referências de estudos selecionados foram incluídas. Como para muitos dos aspectos não existem evidências científicas consistentes, algumas recomendações citadas foram feitas com base em experiência clínica. Síntese dos dados: Oxigenoterapia domiciliar prolongada tem sido uma prática crescente nos pacientes pediátricos e se encontra indicada em casos de displasia broncopulmonar, fibrose cística, bronquiolite obliterante, pneumopatias intersticiais, hipertensão pulmonar, etc. Ressaltam-se como benefícios: redução de internações, otimização do crescimento físico e do desenvolvimento neurológico, melhora da tolerância ao exercício e da qualidade do sono e prevenção da hipertensão pulmonar/. Os níveis de saturação de oxigênio indicativos para a oxigenoterapia diferem dos estabelecidos para adultos com doença pulmonar obstrutiva crônica e variam de acordo com a doença e faixa etária. Para a avaliação da saturação de oxigênio, utiliza-se a oximetria de pulso, sendo a gasometria arterial dispensável. Há três fontes de oxigênio disponíveis: cilindros gasosos, oxigênio líquido e concentradores de oxigênio. Os fluxos utilizados costumam ser menores, assim como o número de horas/dia necessários, quando comparados ao uso em adultos. Em algumas doenças há melhora, e a suspensão do oxigênio é possível. Conclusões: Oxigenoterapia domiciliar prolongada é uma terapêutica cada vez mais comum em pediatria e suas indicações são numerosas. Há particularidades relevantes quando comparada aos adultos em relação às indicações, modo de uso e monitorização. | - |
dc.language.iso | eng | - |
dc.language.iso | por | - |
dc.publisher | SOC BRASIL PEDIATRIA | - |
dc.relation.ispartof | Jornal de Pediatria | - |
dc.rights | openAccess | - |
dc.subject | Home oxygen therapy | - |
dc.subject | Children | - |
dc.subject | Oxygen | - |
dc.subject | Oxigenoterapia domiciliar | - |
dc.subject | Crianças | - |
dc.subject | Oxigênio | - |
dc.subject.other | sickle-cell-disease | - |
dc.subject.other | interstitial lung-diseases | - |
dc.subject.other | extremely preterm infants | - |
dc.subject.other | 1st 6 months | - |
dc.subject.other | cystic-fibrosis | - |
dc.subject.other | pulse oximetry | - |
dc.subject.other | bronchopulmonary dysplasia | - |
dc.subject.other | domiciliary oxygen | - |
dc.subject.other | breathing patterns | - |
dc.subject.other | noninvasive ventilation | - |
dc.title | Recommendations for long-term home oxygen therapy in children and adolescents | - |
dc.title.alternative | Recomendações para oxigenoterapia domiciliar prolongada em crianças e adolescentes | - |
dc.type | article | - |
dc.rights.holder | Copyright SOC BRASIL PEDIATRIA | - |
dc.identifier.doi | 10.1016/j.jped.2013.02.003 | - |
dc.identifier.pmid | 23544805 | - |
dc.subject.wos | Pediatrics | - |
dc.type.category | review | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | ALVAREZ, Alfonso E.:Soc Pediat Sao Paulo, Dept Pneumol, Sao Paulo, Brazil; Univ Estadual Campinas UNICAMP, Sch Med Sci, Campinas, SP, Brazil; Soc Med & Cirurgia Campinas 2012 2014, Dept Pediat, Campinas, SP, Brazil | - |
hcfmusp.author.external | BARBISAN, Beatriz N.:Soc Pediat Sao Paulo, Dept Pneumol, Sao Paulo, Brazil; Univ Fed Sao Paulo UNIFESP, Sao Paulo, Brazil; Univ Fed Sao Paulo, Dept Pediat, Pediat Pneumol Sect, Sao Paulo, Brazil | - |
hcfmusp.author.external | GUIMARAES, Bianca R.:FMUSP, Sao Paulo, Brazil | - |
hcfmusp.description.beginpage | 6 | - |
hcfmusp.description.endpage | 17 | - |
hcfmusp.description.issue | 1 | - |
hcfmusp.description.volume | 89 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000316163600003 | - |
hcfmusp.origem.id | 2-s2.0-84875276721 | - |
hcfmusp.origem.id | SCIELO:S0021-75572013000100003 | - |
hcfmusp.publisher.city | RIO DE JANEIRO, RJ | - |
hcfmusp.publisher.country | BRAZIL | - |
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dc.description.index | MEDLINE | - |
hcfmusp.citation.scopus | 18 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/ICr Artigos e Materiais de Revistas Científicas - LIM/36 Artigos e Materiais de Revistas Científicas - ODS/03 |
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